Collagen cross links test, (urine test to evaluate bone health)
Medicare pricing data for 287 providers across 38 states
This procedure has a 9.4x markup — hospitals charge $171.11 but Medicare allows only $18.30. Uninsured patients may face bills 9.4 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Collagen cross links test, (urine test to evaluate bone health) (HCPCS code 82523) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.30, but hospitals typically charge $171.11 — a 9.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.30, your out-of-pocket cost would be approximately $3.66. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 9.4x more than what Medicare allows for this procedure. Medicare actually pays $18.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Michigan | $18 | $70 | 7 | 317 | +0.2% |
| Georgia | $18 | $201 | 1 | 677 | +0.1% |
| Illinois | $18 | $202 | 7 | 729 | +0.1% |
| Kansas | $18 | $249 | 6 | 771 | +0.1% |
| Kentucky | $18 | $125 | 1 | 35 | +0.1% |
| Massachusetts | $18 | $203 | 7 | 3,895 | +0.1% |
| Nevada | $18 | $199 | 2 | 391 | +0.1% |
| New Hampshire | $18 | $92 | 4 | 60 | +0.1% |
| New Mexico | $18 | $129 | 1 | 639 | +0.1% |
| New York | $18 | $169 | 33 | 5,245 | +0.1% |
| North Carolina | $18 | $142 | 8 | 8,004 | +0.1% |
| North Dakota | $18 | $101 | 2 | 59 | +0.1% |
| Ohio | $18 | $148 | 11 | 894 | +0.1% |
| Oregon | $18 | $126 | 4 | 137 | +0.1% |
| Pennsylvania | $18 | $186 | 6 | 1,095 | +0.1% |
| Rhode Island | $18 | $84 | 1 | 43 | +0.1% |
| South Carolina | $18 | $114 | 3 | 23 | +0.1% |
| South Dakota | $18 | $84 | 2 | 28 | +0.1% |
| Tennessee | $18 | $268 | 3 | 117 | +0.1% |
| Utah | $18 | $51 | 4 | 344 | +0.1% |
| Virginia | $18 | $75 | 5 | 429 | +0.1% |
| Puerto Rico | $18 | $19 | 7 | 39 | +0.1% |
| Colorado | $18 | $201 | 8 | 1,449 | +0.1% |
| Connecticut | $18 | $149 | 2 | 54 | +0.1% |
| Florida | $18 | $181 | 22 | 7,057 | 0.0% |
| Maryland | $18 | $177 | 6 | 1,270 | 0.0% |
| Texas | $18 | $152 | 28 | 3,914 | 0.0% |
| Alabama | $18 | $151 | 2 | 396 | 0.0% |
| Arizona | $18 | $181 | 4 | 1,383 | 0.0% |
| California | $18 | $181 | 29 | 18,415 | 0.0% |
| Minnesota | $18 | $192 | 8 | 916 | -0.1% |
| New Jersey | $18 | $172 | 13 | 13,791 | -0.1% |
| Washington | $18 | $157 | 9 | 541 | -0.1% |
| Wisconsin | $18 | $105 | 11 | 1,055 | -0.2% |
| Hawaii | $18 | $174 | 2 | 345 | -0.3% |
| Indiana | $18 | $136 | 6 | 195 | -0.4% |
| Oklahoma | $18 | $165 | 3 | 78 | -2.1% |
| Maine | $18 | $99 | 2 | 12 | -3.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber